KAPLANSKY INSURANCE AGENCY INC

114 HARVARD STREET

BROOKLINE MA 02446

New England Safety Partners

61 Chapel St

Newton MA 02458

ACORD 25 (2014/01)
CERTIFICATE.OF.LIABILITY.INSURANCE

SIS DATE (MM/DD/YYYY)

R045 4/10/2015

THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES

BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the

terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the

certificate holder in lieu of such endorsement(s).

PRODUCER CONTACT

NAME:

KAPLANSKY INSURANCE AGENCY INC PHONE

(A/C, No, Ext): (617) 738-5400

FAX

(A/C, No): (617) 738-8214

088739 P:(617) 738-5400 F:(617) 738-8214 E-MAIL

ADDRESS:

114 HARVARD STREET INSURER(S) AFFORDING COVERAGE NAIC#

BROOKLINE MA 02446 INSURER A : Sentinel Ins Co LTD

INSURED INSURER B :

INSURER C :

NEW ENGLAND SAFETY PARTNERS LL INSURER D :

61 CHAPEL ST INSURER E :

NEWTON MA 02458 INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD

INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE

TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR

TYPE OF INSURANCE ADDL

INSR

SUBR

WVD

POLICY NUMBER POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

LIMITS

COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000

CLAIMS-MADE X OCCUR DAMAGE TO RENTED

PREMISES (Ea occurrence) $1,000,000

A X General Liab 08 SBM NN5071 03/23/2015 03/23/2016 MED EXP (Any one person) $10,000

PERSONAL & ADV INJURY $1,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000

POLICY PROJECT X LOC PRODUCTS - COMP/OP AGG $2,000,000

OTHER: $

AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT

(Ea accident) $

ANY AUTO BODILY INJURY (Per person) $

ALL OWNED

AUTOS

SCHEDULED

AUTOS BODILY INJURY (Per accident) $

HIRED AUTOS NON-OWNED

AUTOS

PROPERTY DAMAGE

(Per accident) $

$

UMBRELLA LIAB OCCUR EACH OCCURRENCE $

EXCESS LIAB CLAIMS-MADE AGGREGATE $

DED RETENTION $ $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

N/ A

PER

STATUTE

OTHER

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

Y/N E.L. EACH ACCIDENT $

E.L. DISEASE- EA EMPLOYEE $

If yes, describe under

DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Those usual to the Insured's Operations.

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE

New England Safety Partners DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

61 Chapel St

Newton MA 02458

AUTHORIZED REPRESENTATIVE

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
KAPLANSKY INSURANCE AGENCY INC

114 HARVARD STREET

BROOKLINE MA 02446

NEW ENGLAND SAFETY PARTNERS LL

61 CHAPEL ST

NEWTON MA 02458

ACORD 25 (2014/01)
CERTIFICATE.OF.LIABILITY.INSURANCE

SIS DATE (MM/DD/YYYY)

R045 4/10/2015

THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES

BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the

terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the

certificate holder in lieu of such endorsement(s).

PRODUCER CONTACT

NAME:

KAPLANSKY INSURANCE AGENCY INC PHONE

(A/C, No, Ext): (617) 738-5400

FAX

(A/C, No): (617) 738-8214

088739 P:(617) 738-5400 F:(617) 738-8214 E-MAIL

ADDRESS:

114 HARVARD STREET INSURER(S) AFFORDING COVERAGE NAIC#

BROOKLINE MA 02446 INSURER A : Sentinel Ins Co LTD

INSURED INSURER B :

INSURER C :

NEW ENGLAND SAFETY PARTNERS LL INSURER D :

61 CHAPEL ST INSURER E :

NEWTON MA 02458 INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD

INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE

TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR

TYPE OF INSURANCE ADDL

INSR

SUBR

WVD

POLICY NUMBER POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

LIMITS

COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000

CLAIMS-MADE X OCCUR DAMAGE TO RENTED

PREMISES (Ea occurrence) $1,000,000

A X General Liab 08 SBM NN5071 03/23/2015 03/23/2016 MED EXP (Any one person) $10,000

PERSONAL & ADV INJURY $1,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000

POLICY PROJECT X LOC PRODUCTS - COMP/OP AGG $2,000,000

OTHER: $

AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT

(Ea accident) $

ANY AUTO BODILY INJURY (Per person) $

ALL OWNED

AUTOS

SCHEDULED

AUTOS BODILY INJURY (Per accident) $

HIRED AUTOS NON-OWNED

AUTOS

PROPERTY DAMAGE

(Per accident) $

$

UMBRELLA LIAB OCCUR EACH OCCURRENCE $

EXCESS LIAB CLAIMS-MADE AGGREGATE $

DED RETENTION $ $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

N/ A

PER

STATUTE

OTHER

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

Y/N E.L. EACH ACCIDENT $

E.L. DISEASE- EA EMPLOYEE $

If yes, describe under

DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Those usual to the Insured's Operations.

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE

DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

Inno4 LLC

266 SUMMER ST

BOSTON, MA 02210

AUTHORIZED REPRESENTATIVE

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD